| Amanda Nicole Davis, CNP | |
|
280 Pattonsville Rd, Jackson, OH 45640-9452 | |
| (740) 395-8805 | |
| (740) 395-8855 |
| Full Name | Amanda Nicole Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 280 Pattonsville Rd, Jackson, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164724787 | NPI | - | NPPES |
| 3810019225 | Medicaid | WV | |
| 000000691801 | Other | OH | ANTHEM BCBS |
| 3108845 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.12007-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Nicole Davis, CNP 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 992-0060 | Amanda Nicole Davis, CNP 280 Pattonsville Rd, Jackson, OH 45640-9452 Ph: (740) 395-8805 |
Hannah Grace Mcdonald, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 E Main St Ste 4, Jackson, OH 45640 Phone: 740-577-3527 | |
April S. Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Burlington Rd, Jackson, OH 45640 Phone: 740-288-4625 Fax: 740-395-8506 | |
Neesha Smith, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 740-395-8805 Fax: 740-395-8855 | |
Kip Wayne Bryant, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Burlington Rd Ste 240, Jackson, OH 45640 Phone: 740-286-5075 Fax: 740-395-8411 | |
Sarah Rachel Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14395 State Rt 93, Jackson, OH 45640 Phone: 740-288-7681 Fax: 740-288-7682 | |
Mrs. Susan Marie Lykins, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Veterans Dr, Jackson, OH 45640 Phone: 740-395-8090 |